共查询到20条相似文献，搜索用时 125 毫秒
1.
刘巨兵 《河北北方学院学报(医学版)》1998,(3)
腰麻或硬膜外穿刺穿破硬脊膜后痛,是常见椎管内阻滞并发症,系由于脑脊液外漏而致颅内压降低。一般可在3-4日内恢复,对程度较重或迁延难愈者,及时有效控制头痛尤为重要,我院近几年来发生9例,给予硬膜外腔注射右旋糖酐(DCO),收到良好效果,现报告如下。 1 临床资料 男3例,女6例,年龄25—52岁,包括门诊行硬膜外阻滞穿破硬脊膜后头痛,腰麻后头痛5例。主要临床表现一般为术后或阻滞(1—2d)抬头或坐立位头痛,以前额或枕后为重,平卧时 相似文献
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脊髓蛛网膜囊肿又称硬脊膜下水瘤,软膜囊肿及囊性脊髓蛛网膜炎等。是临床较少见的脊髓压迫症,其典型表现为透明或灰白色的薄膜包裹的囊肿,囊肿内充满似脑脊液样的五色透明液体,囊肿壁与脊髓粘连。早期手术效果满意。我院自1983年1月至1998年8月共收治19例,现报告如下,并结合文献对其病因及临床特点进行讨论。 1 临床资料 1.1 一般资料:男12例,女7例,年龄5～63岁,平均年龄32±9岁。病程3月～12年,平均病程15个月。囊肿位于颈段6例,胸段10例,腰段3例。 相似文献
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硬膜外腔注入小剂量吗啡阑干术后镇痛效果确切,但其副作用较多,故对其并发症的处置及护理尤显重要。笔秆就93～94年间怀来县医院采用此法术后镇痛100例并发症的处置及护理分析如下: 1 临床资料 男19例,女71例,年龄16～68岁,平均41岁。手术种类:上腹部手术61例,下腹部手术32例,下肢手术7例,均为延续硬膜外麻醉。全部病例于手术结束前5～10分钟从硬 相似文献
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复方丁卡因注射液是由盐酸丁卡因、盐酸麻黄素和葡萄糖按一定比例配制而成的灭菌水溶液,主要用于硬脊膜外腔麻醉。其含量测定虽已见报导,但操作繁琐,显色条件不易掌握。笔者新拟定了其含测方法,可不经分离,直接利用紫外分光光度法测定其中盐酸丁卡因的含量,避免了提取分离等过程。操作简便,结果准确。盐酸丁卡因平均回收率99.10％盐酸麻黄素平均回收率101.25％。萄葡糖平均回收率99.21％。 相似文献
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目的:探讨腰硬联合麻醉与静吸复合全麻用于不孕症宫腹腔镜联合手术的优劣不同.方法:择期行不孕症宫腹腔镜联合手术女性病人50例随机分成气管内佥麻组(G组)与腰硬联合麻醉组(C组),每组25例.G组行常规气管插管静吸复合全麻,C组选L2～3间隙穿刺行腰硬联合麻醉.连续监测两组患者BP、HR、SpO2、PET-CO2,分别于麻醉前(T0)、CO2气腹前5min(T1)、CO2气腹后10min(T2)、20min(T3)、术毕5min(T4)和术后120min (T5)记录各组数据.记录两组病人术后完全清醒时间(min).结果:两组患者BP、HR、SpO2变化不大,充气后两组PETCO2均明显增高,G组较C组在术后120min(T5)增高、且G组术后完全清醒时间(min)也显著延长.结论:只要加强对呼吸的观察和管理,腰硬联合麻醉可作为不孕症宫腹腔镜联合手术的首选麻醉方法. 相似文献
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阮文先 《河北北方学院学报(医学版)》2001,(1)
由于社会人口老龄化不断加重,所患疾病的种类也在逐年增加,而老年人有多种生理、病理方面的特点。要求选择适宜的手术方式和麻醉方法。我院近年来采用硬膜外阻滞加全麻的方式用于老年人上腹部手术,取得了良好的效果。现将体会报告如下。 1 资料与方法 选择60例病人,年龄50～80岁,ASAⅠ级15例,Ⅱ级40例,Ⅲ级5例,其中胆囊手术45例,胃大部切除10例,胃癌根治术5例。于术前30min肌注苯巴 相似文献
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连续硬膜外麻醉在剖宫产手术中得到了广泛的应用,为大多数医院实施剖宫产术的首选方法.但该麻醉方法常出现阻滞不全、产妇疼痛、牵拉反应强烈,且因肌松差再加上产妇屏气致腹肌紧张,因此胎儿取出困难,甚至对新生儿产生一定影响. 相似文献
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宏杰 《赤峰学院学报(自然科学版)》2006,(6)
目的:观察肌间沟加腋路臂丛神经阻滞在上肢手术中的效果.方法:选择151例上肢手术患者,随机分为试验组(78例)和对照组(73例).试验组:肌间沟加腋路臂丛神经阻滞;对照组:锁骨上路或肌间沟臂丛神经阻滞.结果:试验组优良率为94.1;对照组为80.8%.讨论:肌间沟加腋路臂丛神经阻滞能够提高臂丛神经阻滞效果. 相似文献
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杨树田 《河北北方学院学报(医学版)》1995,(1)
我院自1984年2月至1990年10月于连续硬膜外阻滞下行胆道手术62例,现将麻醉处理的体会报告如下: 一、一般资料:62例中,男38例,女24例。年龄24-64岁。急诊手术2例,择期手术60例。ASA分级:Ⅰ级20例,Ⅱ级34例,Ⅲ级6例,Ⅳ级2例,Ⅴ级无。术前用药物均苯巴比妥钠、阿托品为主。 相似文献
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①目的:探讨一次性使用持续注入器输注氯普鲁卡因在硬膜外麻醉中的效果,以积累临床经验,指导临床工作.②方法:选取90例硬膜外麻醉的患者,随机分为两组,观察组(45例)应用一次性使用持续注入器持续输注氯普鲁卡因,对照组(45例)应用一次性使用持续注入器持续输注利多卡因.③结果:实验组在麻醉起效时间、痛觉消失时间及运动阻滞时间明显短于对照组,实验组低血压的发生率明显高于对照组.④结论:氯普鲁卡因用于硬膜外麻醉,麻醉效果较好,适合持续输注,但要警惕低血压的发生. 相似文献
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潘科 《襄樊职业技术学院学报》2013,12(4):28-30
目的 对比盐酸罗哌卡因和盐酸布比卡因的临床效果,为盐酸罗哌卡因应用妇科手术提供临床依据.方法 选择2012年至今在襄阳职业技术学院附属医院进行择期妇科手术病人50例,均分两组分别接受A组盐酸罗哌卡因(观察组25例)和B组盐酸布比卡因(对照组25例)施行低位硬膜外麻醉.观察两组在低位硬膜外麻醉方面的临床效果,同时监测手术期间心电图P-R、QRS波间期的变化及其它局麻药不良反应.结果 A组和B组感觉阻滞达到T6平面以上的病例分别为80％和88％,Bromage≥2分的病例分别为76％和88％,两组在麻醉效能方面无显著差异.A组未见任何局麻药不良反应,而B组共有6例发生心动过缓、P-R及QRS波间期延长、恶心、胸闷、头晕、耳鸣等不适.结论 盐酸罗哌卡因与盐酸布比卡因在低位硬膜外麻醉行妇科手术中均可达到满意的麻醉效果,但使用盐酸罗哌卡因行低位硬膜外麻醉比使用盐酸布比卡因的临床安全性更高. 相似文献
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潘科 《襄樊职业技术学院学报》2012,(1):46-47,57
目的：探讨咪达唑仑硬膜外麻醉的临床应用。方法：将2011年襄樊职业技术学院附属医院硬膜外麻醉下行下腹部或下肢手术的病例60例,随机平分2组。硬膜外麻醉阻滞完善后,Ⅰ组病人静脉注射咪达唑仑0.1-0.2 mg/kg,Ⅱ组病人未给予任何镇静药物,同时监测血压、心率、血氧饱和度、呼吸变化、焦虑程度,术后24 h随访病人的术中记忆。结果：Ⅰ组病人应用咪达唑仑后血压、心率轻度下降,焦虑程度明显下降;Ⅱ组病人术中血压、心率升高,相对Ⅰ组病人明显焦虑紧张（P〈0.01）。术后24 h随访对术中记忆的遗忘率,Ⅰ组病人明显高于Ⅱ组病人（P〈0.01）。结论：咪达唑仑用于硬膜外麻醉,可以消除病人在手术中的不良记忆,是一种方便、安全、疗效高的麻醉辅助方法。 相似文献
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李素玲 《河北北方学院学报(医学版)》2001,(1)
目的:进一步探讨剖宫产术的麻醉及各种并发症的合理处理措施。方法:500例剖宫产者全部采用连续硬膜外麻醉,术中严密监测产妇的生命体征,保证充分供氧,及时处理术中出现的各种并发症。结果:麻醉效果满意率为94.6％,全部母婴无一因麻醉死亡。结论:选择合理的麻醉方法,对术前及术中各种并发症如妊高征、仰卧位综合征、局麻药中毒、羊水栓塞、寒战反应新生儿抢救等做到合理及时的纠正,是保证剖宫产母婴安全的基本要素。 相似文献
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Objective： To investigate the dynamics of vascular volume and the plasma dilution of lactated Ringer＇s solution in patients during the induction of general and epidural anesthesia. Methods： The hemodilution of i.v. infusion of 1000 ml of lactated Ringer＇s solution over 60 min was studied in patients undergoing general （n=31） and epidural （n= 22） anesthesia. Heart rate, arterial blood pressure and hemoglobin （Hb） concentration were measured every 5 rain during the study. Surgery was not started until the study period had been completed. Results： General anesthesia caused the greater decrease of mean arterial blood pressure （MAP） （mean 15% versus 9%; P〈0.01） and thereby followed by a more pronounced plasma dilution, blood volume expansion （VE） and blood volume expansion efficiency （VEE）. A strong linear correlation between hemodilution and the reduction in MAP （r=-0.50;P〈0.01） was found. At the end of infusion, patients undergoing general anesthesia retained 47% （SD 19%） of the infused fluid in the circulation, while epidural anesthesia retained 29% （SD 13%） （P〈0.001）. Correspondingly, a fewer urine output （mean 89 ml versus 156 ml; P〈0.05） and extravascular expansion （454 ml versus 551 ml; P〈0.05） were found during general anesthesia. Conclusion： We concluded that the induction of general anesthesia caused more hemodilution, volume expansion and volume expansion efficiency than epidural anesthesia, which was triggered only by the lower MAP. 相似文献
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Exploring Women's Preferences for Labor Epidural Analgesia 总被引：2，自引：0，他引：2
Stark MA 《The Journal of perinatal education》2003,12(2):16-21
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Epidural analgesia has become a popular way to reduce pain during labor. Because epidural use is not limited to women who plan its use, but extends to some who originally planned a nonmedicated birth, it is important for the childbirth educator to provide information on this topic to all women. In this column, the authors provide examples of Web sites that address epidural anesthesia. Web sites for professionals and consumers are included. Encouraging the use of such resources by expectant parents can provide them with good information and allow the class time on this topic to be that of clarification. 相似文献
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Background： Spinal hyperbaric ropivacaine may produce more predictable and reliable anesthesia than plain ropivacaine for cesarean section. The dose-response relation for spinal hyperbaric ropivacaine is undetermined. This double-blind, randomized, dose-response study determined the ED50 （50% effective dose） and ED95 （95% effective dose） of spinal hyperbaric ropivacaine for cesarean section anesthesia. Methods： Sixty parturients undergoing elective cesarean section delivery with use of combined spinal-epidural anesthesia were enrolled in this study. An epidural catheter was placed at the L1-L2 vertebral interspace then lumbar puncture was performed at the L3-L4 vertebral interspace, and parturients were randomized to receive spinal hyperbaric ropivacaine in doses of 10.5 mg, 12 mg, 13.5 mg, or 15 mg in equal volumes of 3 ml. Sensory levels （pinprick） were assessed every 2.5 min until a T7 level was achieved and motor changes were assessed by modified Bromage Score. A dose was considered effective if an upper sensory level to pin prick of T7 or above was achieved and no intraoperative epidural supplement was required. ED50 and ED95 were determined with use of a logistic regression model. Results： ED50 （95% confidence interval） of spinal hyperbaric ropivacaine was determined to be 10.37 （5.23-11.59） mg and ED95 （95% confidence interval） to be 15.39 （13.81-23.59） mg. The maximum sensory block levels and the duration of motor block and the rate of hypotension, but not onset of anesthesia, were significantly related to the ropivacaine dose. Conclusion： The ED50 and ED95 of spinal hyperbaric ropivacaine for cesarean delivery under the conditions of this study were 10.37 mg and 15.39 mg, respectively. Ropivacaine is suitable for spinal anesthesia in cesarean delivery. 相似文献
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The great increase in the study of dog cognition in the current century has yielded insights into canine cognition in a variety of domains. In this review, we seek to place our enhanced understanding of canine cognition into context. We argue that in order to assess dog cognition, we need to regard dogs from three different perspectives: phylogenetically, as carnivoran and specifically a canid; ecologically, as social, cursorial hunters; and anthropogenically, as a domestic animal. A principled understanding of canine cognition should therefore involve comparing dogs’ cognition with that of other carnivorans, other social hunters, and other domestic animals. This paper contrasts dog cognition with what is known about cognition in species that fit into these three categories, with a particular emphasis on wolves, cats, spotted hyenas, chimpanzees, dolphins, horses, and pigeons. We cover sensory cognition, physical cognition, spatial cognition, social cognition, and self-awareness. Although the comparisons are incomplete, because of the limited range of studies of some of the other relevant species, we conclude that dog cognition is influenced by the membership of all three of these groups, and taking all three groups into account, dog cognition does not look exceptional. 相似文献